Splenic Cyst Manifesting as Gastric Outlet Obstruction

摘要

A 34-year old woman with history of right oophorectomysecondary to ovarian cysts presented with a 1-weekhistory of nausea and vomiting. Abdominal examwas only remarkable for splenomegaly and computedtomographyof the abdomen demonstrated a 10.5 x9.0 x 8.8 cm splenic cyst. (Figures 1 and 2) It wastheorized that her symptoms were secondary to gastricoutlet obstruction from the enlarged spleen.She subsequently underwent ultrasound guideddrainage of the cyst which resulted in 500 mL ofbrown thin fluid removed with sclerosis of the cyst.No organisms were isolated upon culture of thefluid. The patient’s clinical condition improved fordischarge. Given the possible need for splenectomyshould the cyst recur, the patient received immunizationsfor Haemophilus influenzae type B, Pneumococcus,and Meningococcus prior to discharge.